香附(童便制酒醋盐水各分制共四两) 没药(六钱) 枣皮(焙去油) 当归(童便制) 茯苓
白术(米泔水浸) 白薇(洗去芦) 阿胶(蛤粉炒) 白芍(各四两) 生地(酒浸洗。用益智仁
二两。以酒同炒。去益智仁净。八两。) 人参(二两) 川断(酒洗。五倍子炒净六两。)
黄芩(酒浸洗净四两) 砂仁(炒去衣二两。) 上药法制为细末。用山药十二两为末。水打丸
。空心白汤下五十丸。(〔吴按〕枣皮即山茱萸。)
脾胃伤损。饮食减少。气耗血枯而不行。宜补脾胃。养气血。气充血生。经自调矣。切忌用
通经药。恐伤中气。阴血已干。误成痨瘵。则不治矣。
思虑恼怒。怨恨气郁。血滞而不行。宜开郁行滞。苟以为虚而用补。则气得补而益结。血益
凝。至成 瘕肿痛者。有之矣。
躯脂迫塞。痰涎壅盛。滞经而不行。宜行气导痰。则经自行矣。
人参(三钱) 黄 (炙) 白术(土炒) 白芍(酒炒) 归身 川芎 陈皮(各一钱) 柴胡(七
分) 炙草(五分) 加神曲麦芽(炒各五钱) 姜枣为引。兼服乌鸡丸。
气郁血闭不行。宜服开郁二陈汤。兼四制乌附丸。
香附(一斤。分四。主醋酒童便盐水各浸三日三夜。以砂罐煮干所浸之水研细末。) 天台乌
药(半斤。同附制研细末。) 和匀。醋糊丸。
躯脂迫塞。痰涎壅盛，滞经不行。宜服苍莎导痰丸。兼开郁二陈汤。去莪术加枳壳。
偏房宠外家寡妇。并愆期未嫁室女。欲动不得遂。恨积不得伸。亦有经闭之症。害羞难对人言
。致成痨瘵。宜服四制乌附丸。及参术大补之剂。攻补兼行。可疗七情变症。经闭骨蒸作热
。而脉虚难治。
【方剂组成】香附（用童便、酒、醋、盐水各一份分别炮制，共四两）、没药（六钱）、枣皮（焙干去油）、当归（用童便炮制）、茯苓、白术（用米泔水浸泡）、白薇（洗净去掉芦头）、阿胶（用蛤粉炒）、白芍（以上药材各四两）、生地（用酒浸泡洗净。取益智仁二两，与酒同炒后，去掉益智仁，取净生地八两）、人参（二两）、川断（用酒洗净，用五倍子炒至干净，六两）、黄芩（用酒浸泡洗净，四两）、砂仁（炒去壳，二两）。将上述药物按法定方法制成细末。用山药十二两研成粉末，用水泛丸。空腹时用清水送服五十丸。（〔吴崑按〕枣皮即山茱萸。）
若脾胃受损，饮食减少，导致气耗血枯而经血不行，应当补益脾胃，滋养气血。气充血生，月经自然调和。切忌使用通经药，恐怕损伤中气。若阴血已干枯，误治而成痨瘵，则难以治愈。
若因思虑恼怒、怨恨气郁，导致血滞而不行，应当开郁行滞。如果误认为是虚证而使用补法，则气得到补益反而更加郁结，血液更加凝滞，甚至形成瘕聚肿痛的情况，是有可能发生的。
若因体内脂肪堆积阻塞，痰涎壅盛，阻滞经血而不行，应当行气导痰，月经自然通畅。
【针对】脾胃受损，气血不行的情况：
人参（三钱）、黄芪（炙）、白术（土炒）、白芍（酒炒）、归身、川芎、陈皮（以上各一钱）、柴胡（七分）、炙甘草（五分），加神曲、麦芽（炒，各五钱），以生姜、大枣为引。兼服乌鸡丸。
【针对】气郁血闭不行的情况：宜服用开郁二陈汤，兼服四制乌附丸。
【四制乌附丸组成】香附（一斤，分为四份，主料分别用醋、酒、童便、盐水浸泡三日三夜，用砂罐煮干所浸之水，研成细末）、天台乌药（半斤，同附子炮制后研成细末）。混合均匀，用醋糊丸。
【针对】体内脂肪堆积阻塞，痰涎壅盛，阻滞经血不行的情况：宜服用苍莎导痰丸，兼服开郁二陈汤，去掉莪术，加入枳壳。
【针对】偏房妾室、宠爱外室寡妇，以及过期未嫁的处女，情欲萌动而不能遂愿，怨恨积聚不能伸展，也有出现经闭症状的。因害羞难以对人言说，导致成为痨瘵。宜服用四制乌附丸，及人参、白术等大补之剂，攻补兼施，可以治疗七情变化导致的病症。若出现经闭、骨蒸潮热，且脉象虚弱难治的情况。
[Formula Composition] Xiangfu (Cyperi Rhizoma, processed with child's urine, wine, vinegar, and salt water in equal parts, total 4 liang), Moyao (Myrrha, 6 qian), Zaopi (Corni Fructus, roasted to remove oil), Danggui (Angelicae Sinensis Radix, processed with child's urine), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma, soaked in rice washing water), Baiwei (Cynanchi Atrati Radix, washed to remove rhizome), Ejiao (Colla Corii Asini, stir-fried with clam powder), Baishao (Paeoniae Radix Alba, each 4 liang for the above herbs), Shengdi (Rehmanniae Radix, soaked and washed in wine. Take Yizhiren [Alpinia Oxyphyllae Fructus, 2 liang], stir-fry with wine, remove Yizhiren, keep purified Shengdi, 8 liang), Renshen (Ginseng Radix, 2 liang), Chuanduan (Dipsaci Radix, washed in wine, stir-fried with Wubeizi [Galla Chinensis] until clean, 6 liang), Huangqin (Scutellariae Radix, soaked and washed in wine, 4 liang), Sharen (Amomi Fructus, stir-fried and husked, 2 liang). Process the above drugs according to legal methods into fine powder. Use Shanyao (Dioscoreae Rhizoma, 12 liang) as powder, make pills with water. Take 50 pills with clear water on an empty stomach. ([Wu An] Zaopi is Corni Fructus.)
If Spleen and Stomach are damaged, food intake decreases, leading to Qi consumption and Blood exhaustion causing amenorrhea, one should tonify Spleen and Stomach, nourish Qi and Blood. When Qi is sufficient and Blood is generated, menstruation will naturally regulate. Strictly avoid using blood-invigorating and menstruation-promoting drugs, lest they damage Middle Qi. If Yin Blood is already dry and mistreatment leads to Lao Zhai (consumptive disease), it becomes incurable.
If due to overthinking, anger, resentment, and Qi stagnation, causing Blood stasis and amenorrhea, one should resolve stagnation and promote Qi movement. If mistakenly treated as deficiency and using tonification, Qi will become more knotted upon tonification, and Blood will become more coagulated, potentially leading to masses (Jia) and swelling/pain. This situation does occur.
If due to accumulation of body fat blocking the channels, and excessive phlegm-fluid obstructing the meridians, causing amenorrhea, one should move Qi and guide out phlegm, then menstruation will flow naturally.
[For] Damage to Spleen and Stomach, with non-moving Qi and Blood:
Renshen (Ginseng Radix, 3 qian), Huangqi (Astragali Radix, honey-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried), Baishao (Paeoniae Radix Alba, wine-stir-fried), Guishen (Radix Angelicae Sinensis), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium, each 1 qian), Chaihu (Bupleuri Radix, 7 fen), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 fen), add Shenqu (Massa Medicata Fermentata) and Maiya (Hordei Fructus Germinatus, stir-fried, each 5 qian), use Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) as guides. Concurrently take Wuji Wan (Black Chicken Pill).
[For] Qi stagnation and Blood closure causing non-moving menstruation: It is suitable to take Kaiyu Erchen Tang (Stagnation-Resolving Erchen Decoction), concurrently with Sizhi Wufu Wan (Four-Processed Wu-Fu Pill).
[Sizhi Wufu Wan Composition] Xiangfu (Cyperi Rhizoma, 1 jin, divided into four parts, main material soaked respectively in vinegar, wine, child's urine, and salt water for three days and nights, boiled dry in a clay pot with the soaking liquids, ground into fine powder), Tiantai Wuyao (Linderae Radix, 0.5 jin, processed with Fuzi [Aconiti Lateralis Radix Praeparata] and ground into fine powder). Mix evenly, make pills with vinegar paste.
[For] Accumulation of body fat blocking channels, excessive phlegm-fluid, obstructing menstruation: It is suitable to take Cangsha Daotan Wan (Atractylodes and Amomum Phlegm-Guiding Pill), concurrently with Kaiyu Erchen Tang (Stagnation-Resolving Erchen Decoction), remove Ezhu (Curcumae Rhizoma), add Zhike (Citri Aurantii Fructus).
[For] Concubines, favored mistresses, widows, and unmarried women past marriageable age, whose desires arise but cannot be satisfied, and resentments accumulate without outlet, may also present with amenorrhea. Due to shyness and difficulty in speaking to others, this may lead to consumptive disease. It is suitable to take Sizhi Wufu Wan (Four-Processed Wu-Fu Pill), and large tonifying agents such as Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). Attack and tonification should be combined to treat disorders caused by Seven Emotions. If amenorrhea and bone-steaming fever occur with a weak pulse, it is difficult to treat.